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WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 0313 <br />(Ed. 4-84) <br />WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT <br />We have the right to recover our payments from anyone liable for an Injury covered by this policy. We Wil not enforce <br />our right against the person or organization named in the Schedule. (This agreement applies Only to the extent that you <br />perform work under a written contract that requires you to obtain this agreement from us.) <br />This agreement shell not operate directly or indirectly to benefit anyone not named In the Schedule. <br />Schedule <br />ANY PERSON OR ORGANIZATION ON WHOSE BEHALF YOU ARE REQUIRED TO OBTAIN <br />THIS WAIVER OF OUR RIGHT TO RECOVER FROM UNDER A WRITTEN CONTRACT <br />OR AGREEMENT, NOT APPLICABLE IN KANSAS. <br />This endorsement changes tha policy to which it is attached and is a8ac8ve an the date Issued unless otheroAse stated. <br />(The Inlomlatlon below Is required oniv when lets andamement Is issued subsequent to preparation of the policy.) <br />EndorsamentElrecave 07/01/2017 PallcyNo, 3011086712 (all other0McrsamentNo. <br />Insured MGT of America Consulting, LLC Premium 9 <br />Insurance Company Valley Forge Ins, Co, Countersigned byill p� <br />WC 00 0313 <br />(Ed. 4.84) Copyright 1989 National Council an Compansatcn Insurance. r� �� <br />• 2C> a� t� <br />By Margaret Mercer at 5.!41 <br />